TAILIEUCHUNG - Health workers' attitudes toward sexual and reproductive health services for unmarried adolescents in Ethiopia

This paper examines the integration of family planning (FP) services with HIV and AIDS services (voluntary counselling and testing (VCT), prevention of mother-to-child-transmission (PMTCT) and anti-retroviral therapy (ART)) in Uganda. The paper finds that: FP service integration is more evident in VCT and PMTCT settings where counselling, provision of contraceptive methods other than condoms, and information is available in varying degrees. Implementation of integrated services remains a challenge because under the public healthcare system, FP and VCT services are controlled by different divisions within the Ministry of Health. The paper also finds that overwhelmingly, people living with. | Tilahun et al. Reproductive Health 2012 9 19 http content 9 1 19 REPRODUCTIVE HEALTH RESEARCH Open Access Health workers attitudes toward sexual and reproductive health services for unmarried adolescents in Ethiopia Mesfin Tilahun1 2 Bezatu Mengistie1 3 Gudina Egata4 and Ayalu A Reda5 6 Abstract Background Adolescents in developing countries face a range of sexual and reproductive health problems. Lack of health care service for reproductive health or difficulty in accessing them are among them. In this study we aimed to examine health care workers attitudes toward sexual and reproductive health services to unmarried adolescents in Ethiopia. Methods We conducted a descriptive cross-sectional survey among 423 health care service providers working in eastern Ethiopia in 2010. A pre-tested structured questionnaire was used to collect data. Descriptive statistics chi-square tests and logistic regression were performed to drive proportions and associations. Results The majority of health workers had positive attitudes. However nearly one third 30 of health care workers had negative attitudes toward providing RH services to unmarried adolescents. Close to half of the respondents had unfavorable responses toward providing family planning to unmarried adolescents. About 13 of health workers agreed to setting up penal rules and regulations against adolescents that practice pre-marital sexual intercourse. The multivariate analysis indicated that being married OR 95 CI - lower education level OR 95 CI - being a health extension worker OR 95 CI - lack of training on reproductive health services OR 95 CI - to be significantly associated with negative attitudes toward provision of sexual and reproductive services to adolescents. Conclusions The majority of the health workers had generally positive attitudes toward sexual and reproductive health to adolescents. However a minority

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